Organization
FRONT PORCH HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE A VICKERS ARNP (PRESIDENT)
(407) 797-3175
Entity
Organization
Contact information
Practice address
4755 N KENANSVILLE RD, SAINT CLOUD, FL 34773-9109
(407) 797-3175
Mailing address
900 FONTANA LN, KENANSVILLE, FL 34739-9010
(407) 797-3175
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
851162
FL
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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